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Organization

ANDERSON ISL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANE ANDERSON (PROVIDER)
(660) 221-2118
Entity
Organization

Contact information

Practice address
503 E CLARK ST, WARRENSBURG, MO 64093-2405
(660) 221-2118
Mailing address
503 E CLARK ST, WARRENSBURG, MO 64093-2405
(660) 221-2118

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/27/2008
Last updated
11/27/2008
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